Cuk V M, Atanasijević T T, Petrović M J, Ignjatović D M, Bjelović M M
Klinika za opstu i vaskularnu hirurgiju Vojnomedicinska akademija, Beograd.
Acta Chir Iugosl. 1994;41(2 Suppl 2):261-4.
In Clinic for general and vascular surgery - Military Medical Academy Belgrade since 1987 to 1993 in treatment of the rectal cancer it was done 326 low anterior resections. In 149 patients anastomosis was done with sutures and in 177 with stapler. Half of them were more then 60 years old, and in 40% of patients carcinoma was staged as Dukes C or D. In group I tumor was localised in the middle or distal third of rectum in 24.8% of patients while in group II this was in 75.7%. Anastomosis related complications where rare in stapler group, clinically evident anastomotic dehiscence was found in 11.4% patients in I group and in 99% in II group. Total mortality was 3.1%; 3.4% in the I group and 2.8% in the II group. In our comparative analysis of early complications after low anterior resection of rectum when colorectal anastomosis was done with suture or stapler technic we have found that stapler technic give opportunity for creating much more low colorectal anastomoses which are safe and with less complications and with the same oncologic control of disease.
1987年至1993年期间，在贝尔格莱德军事医学院普通外科和血管外科诊所，对直肠癌患者实施了326例低位前切除术。其中149例患者采用缝合方式进行吻合，177例采用吻合器进行吻合。一半患者年龄超过60岁，40%的患者癌症分期为Dukes C期或D期。在第一组中，24.8%的患者肿瘤位于直肠中下段，而在第二组中这一比例为75.7%。吻合器组吻合相关并发症较少，第一组中11.4%的患者出现临床明显的吻合口裂开，第二组中这一比例为99%。总死亡率为3.1%；第一组为3.4%，第二组为2.8%。在我们对直肠癌低位前切除术后采用缝合或吻合器技术进行结直肠吻合的早期并发症的比较分析中，我们发现吻合器技术为创建更多低位结直肠吻合口提供了机会，这些吻合口安全、并发症少，并且对疾病具有相同的肿瘤学控制效果。
